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Acute Care Hospitals · Government - Hospital District or Authority

Decatur Morgan Hospital - Decatur Campus

3 / 5

At a glance

Decatur Morgan Hospital - Decatur Campus carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.279Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2866Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.343Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.008Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.741Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7650Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.658Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.150Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.089Same as national
SSI - Colon Surgery: Number of Procedures103Same as national
SSI - Colon Surgery: Predicted Cases2.751Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures40Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.305Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.129Same as national
MRSA Bacteremia: Upper Confidence Limit2.533Same as national
MRSA Bacteremia: Patient Days44521Same as national
MRSA Bacteremia: Predicted Cases2.609Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.767Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.020Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.395Better than national
Clostridium Difficile (C.Diff): Patient Days43589Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.722Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.120Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients5.9Same as national61
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.2Same as national1017
Death rate for heart attack patients12.2Same as national40
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national109
Death rate for heart failure patients14.8Worse than national315
Death rate for pneumonia patients17.6Same as national443
Death rate for stroke patients13.5Same as national134
Pressure ulcer rate1.37Same as national3229
Death rate among surgical inpatients with serious treatable complications176.38Same as national41
Iatrogenic pneumothorax rate0.18Same as national3990
In-hospital fall-associated fracture rate0.28Same as national3897
Postoperative hemorrhage or hematoma rate2.85Same as national638
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.04Same as national671
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.66Same as national163
Abdominopelvic accidental puncture or laceration rate0.92Same as national636
CMS Medicare PSI 90: Patient safety and adverse events composite1.19Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients-6.9Not available351
Hospital return days for pneumonia patients-4.2Not available447
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national1473
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national57
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national428
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national36
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national118
Heart failure (HF) 30-Day Readmission Rate18.4Same as national351
Rate of readmission after hip/knee replacement4.7Same as national51
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national447

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4966
Doctor communication - star rating4966
Communication about medicines - star rating3966
Discharge information - star rating4966
Cleanliness - star rating4966
Quietness - star rating3966
Overall hospital rating - star rating3966
Recommend hospital - star rating3966
Summary star rating4966

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumehigh
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination822349
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better158460
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better153427
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29022
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better30111
Left before being seen155013
Head CT results8621
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients4719
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132333
Appropriate care for severe sepsis and septic shock45327
Septic Shock 3-Hour Bundle57131
Septic Shock 6-Hour Bundle6050
Severe Sepsis 3-Hour Bundle78328
Severe Sepsis 6-Hour Bundle82177
Discharged on Antithrombotic Therapy94116
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297115
Venous Thromboembolism Prophylaxis844289
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Decatur Morgan Hospital - Decatur Campus rated?
Decatur Morgan Hospital - Decatur Campus has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Decatur Morgan Hospital - Decatur Campus have emergency services?
Yes. Decatur Morgan Hospital - Decatur Campus operates a 24/7 emergency department.
Where is Decatur Morgan Hospital - Decatur Campus located?
Decatur Morgan Hospital - Decatur Campus is located at 1201 7th Street Se, Decatur, AL 35601.
What type of hospital is Decatur Morgan Hospital - Decatur Campus?
Decatur Morgan Hospital - Decatur Campus is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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